Organization
SANTA FE RECOVERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA SCHLEUSENER (CREDENTIALING MANAGER)
(505) 847-5422
Entity
Organization
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
(505) 471-6084
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-4985
(505) 471-6084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
5382
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13134736
—
NM
05
—
78172543
—
NM
Enumeration date
07/30/2006
Last updated
06/20/2025
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